A case series of seven patients with recurrent median nerve neuropathy treated by the revision surgery of median nerve neurolysis and wrapping with radial artery perforator adipose flap

Adhesion neuropathy of the median nerve with persistent pain can be a challenging problem. Currently, coverage of the median nerve with a well-vascularized soft tissue is deemed necessary after secondary neurolysis. Herein, we reviewed the outcomes of seven patients with a persistent median nerve neuropathy after a primary open carpal tunnel release or a median nerve repair, treated with neurolysis and median nerve wrapping with radial artery perforator adipose flaps. During the revision surgery, after a careful and complete neurolysis of the scarred median nerve, the distally based radial artery perforator adipose flap without its fascia was raised and rotated to wrap the median nerve.

Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 10, 2019 Category: Cosmetic Surgery Authors: Takuya Uemura, Kiyohito Takamatsu, Mitsuhiro Okada, Takuya Yokoi, Ema Onode, Yusuke Miyashima, Sadahiko Konishi, Hiroaki Nakamura Source Type: research